Form Center

2. Submission Guidelines
   To submit a photo, please complete the following form and publicity release. If the photographer is under the age of 18, a parent or guardian must complete the form and provide the appropriate permissions. If people are present in your photo, a model release will be required for recognizable person(s) featured in the photo. The form will prompt you to upload your photo at the very end. Only one photo at a time is allowed to be submitted, but multiple entries are allowed. Deadline to submit photos is March 30, 2019.
4. Photographer's first name*
5. Photographer's last name*
7. The photographer is over the age of 18*

   1. Yes

   1. No
9. If the photographer is a minor, a parent/guardian must complete this form. If you are the parent/guardian of the photographer, what is your first and last name?
11. Address*
12. City / State / Zip*
14. Phone number*
15. Email address*
17. Please include a description of your photo and where it was taken.*
19. Publicity Release/Permission To Reprint*

    1. YES I agree to the Publicity Release
    2. NO I DO NOT agree to the Publicity Release

    By submitting this form, I hereby grant the City of Lafayette the right to use this photo electronically, in print, online or for promotional purposes. I hold the City of Lafayette harmless from any and all liability that might arise out of or result from the foregoing use. My entry signifies that I will abide by all rules.
21. Model Release - if people are present in your photo*

    1. There are no people in my photo
    2. YES I agree to the Model Release below

    I hereby grant the City of Lafayette the right to use the likeness of the person/people listed below in my photograph for print or online promotional purposes, without payment or any other consideration for that person/people. I hereby irrevocably authorize the City of Lafayette to edit, alter, copy, exhibit, publish and distribute this photo for purposes of publicizing the City’s programs or for any lawful purpose. I hold the City of Lafayette harmless from any and all liability that might arise out of or result from the foregoing use. My entry signifies that I will abide by all rules.
23. I have approval from the people in my photo to submit this photo for the City of Lafayette's use as it pertains to the above releases.*

    1. YES I have permission
    2. NO I do not have permission
25. Please select your photo to upload for submission*
27. Submission specifications:
    Minimum pixel size: 2200 x 555 / Horizontal orientation / File format: jpg, png, tif
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field